| NPI | 1093950081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN MD67132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 43461) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2023-07-04 |